Features of orthopaedic rehabilitation of children with incomplete skeletal formation suffering from primary tumors of leg bones

Балаев П.И., Борзунов Д.Ю.

Abstract


Purpose. To evaluate the effectiveness of using transosseous osteosynthesis method according to Ilizarov for treatment of primary leg bone tumors in children.
Material and Methods. The results of treatment of 22 children with primary leg bone tumors using transosseous osteosynthesis with the Ilizarov fixator analyzed. In patients with bone sarcoma transosseous osteosynthesis technologies used after the preliminary medical measures including tumor radical and ablastic resection with appropriate complex of neo-adjuvant therapy. As for patients with benign tumors, the rehabilitative procedures for anatomic-and-functional recovery of the operated limb performed by a single stage.
Results. There were no recurrences in the group of patients (12) with benign tumors. The survivability of patients (10) with malignant tumors conformed to the average statistics of the world literature, being 73.6% for three years, it was five-year in 52.6% of those treated. The evaluation of anatomic-and-functional outcomes of orthopaedic rehabilitation evidenced the fact, that transosseous osteosynthesis technologies according to Ilizarov were effective in 97.5% of patients who completed treatment.
Conclusion. The use of transosseous osteosynthesis technologies according to Ilizarov allowed to fill postresection bone defects, as well as to perform optimal limb reconstruction in all patients of the group studied.

Keywords


children, leg bones, tumors, transosseous osteosynthesis according to Ilizarov

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